Wiregrass Ranch ASC Holdings LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

746 Issued in FL

Legal business name

WIREGRASS RANCH ASC HOLDINGS LLC

Practice address

38135 Market Square Dr Ste 115
Zephyrhills, FL 33542-7505

Phone

(813) 780-8266

Fax

(813) 715-4150

NPI assigned

Nov 24, 2006

Organization subpart

Yes

Parent organization

WIREGRASS RANCH ASC HOLDINGS LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gaurav Sood

Title

VP of Ambulatory Surgery Centers

Phone

(321) 841-8346

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Wiregrass Ranch Special Procedures Center Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Wiregrass Ranch ASC Holdings LLC

  • Ambulatory Surgical Clinic/Center
  • Tampa, FL
  • NPI 1750456539

  9436692035

  Same PAC ID

Listed as

Florida Medical Clinic PACCN 10C0001227

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Wiregrass Ranch ASC Holdings LLC2 organizations share this tax ID, including this one

Part of

Wiregrass Ranch ASC Holdings LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Wiregrass Ranch ASC Holdings LLC

  • Ambulatory Surgical Clinic/Center
  • Tampa, FL
  • NPI 1750456539
  NPD tax ID

Networks

• Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Maximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
• Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736121600000",
    "number": "1851467740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38135 MARKET SQ",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335427505",
            "telephone_number": "813-780-1255",
            "fax_number": "813-780-9773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38135 MARKET SQUARE DR STE 115",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335427505",
            "telephone_number": "813-780-8266",
            "fax_number": "813-715-4150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIREGRASS RANCH ASC HOLDINGS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WIREGRASS RANCH ASC HOLDINGS LLC",
        "enumeration_date": "2006-11-24",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A",
        "authorized_official_last_name": "SOOD",
        "authorized_official_first_name": "GAURAV",
        "authorized_official_title_or_position": "VP OF AMBULATORY SURGERY CENTERS",
        "authorized_official_telephone_number": "321-841-8346"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": "746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "746",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wiregrass Ranch Special Procedures Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wiregrass Ranch Special Procedures Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marissa Williams, PA-C
• Samiqua Finnese Williams
• Stephanie M Williams, APRN
• Lindsay Ann Wilson, LMT
• Moethu Win, M.D.
• Julia Christine Woodroffe, APRN
• Latoya Tekema Woods-Williams, FNP
• Jennie Woods, PA-C
• Janine Chatelain Wright, CPM, LM
• WW Zephyrhills LLC

• Ambulatory Surgical Clinic/Center in Zephyrhills, FL
• Providers in Zephyrhills, FL by specialty
• Ambulatory Surgical Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.